Youth SAVE for Medical Providers - Interest Form

Thanks for your interest in participating in Oregon Pediatric Society's virtual training, Youth SAVE for Medical Providers. Please fill out the interest form below, and we will notify you as new training sessions are scheduled.

We value your privacy, and your registration information will not be shared publicly.

Question Title

* 1. Contact information

Name *

Role *

Clinic or Workplace *

City/Town *

State/Province

Email Address *

Question Title

* 2. What type of credit would you be seeking as a participant in this training?

CME only

CME and MOC

Other (please specify)

Question Title

* 3. Would you be interested in participating in this virtual training as a clinic-wide event?

Yes

Other (please specify)

Youth SAVE for Medical Providers - Interest Form

Question Title

* 1. Contact information

Question Title

* 2. What type of credit would you be seeking as a participant in this training?

Question Title

* 3. Would you be interested in participating in this virtual training as a clinic-wide event?

Question Title

* 4. Please share anything else you'd like us to know: